Modern Care Journal (Scientific Quarterly of Birjand Nursing & Midwifery Faculty) http://moderncare.bums.ac.ir
Modern Care Journal - Journal articles for year 2009, Volume 5, Number 1Yektaweb Collection - http://www.yektaweb.comen2009/1/12Study of the knowledge and attitude of women about menopausehttp://moderncare.bums.ac.ir/browse.php?a_id=181&sid=1&slc_lang=en
<p> <strong><i> : </i></strong>Menopause is one of the most critical stages of women life it is concomitant with many body and mental changes. Menopause can cause freeze in women who don't aware of generated physiological changes, while successful agreement whit these change drastically is depend to understanding of them from physiological events in this period. Therefore this research accomplished for the purpose of determining knowledge amount and viewpoint about menopause, on women with rather than 40 years old practitioner in Birjand University, Vali-asr and Emam- Reza hospital, and nine centers of hygiene in 2007. </p><p> <strong><i> Materials and Methods: </i></strong>The present research is a describing and analyzing study that was accomplished on the 170 women with rather than 35 years old in Birjand University in the year of 2007. The study was accomplished using easy sampling and census. Survey of knowledge amount and viewpoint accomplished by designed questionnaire. The questions were studied and graced by professors and experts. The results classified in 3 classes: (i) weak knowledge and viewpoint or less than 50 percent, (ii) average weak knowledge and viewpoint or 50-75 percent. (iii) high knowledge and viewpoint or rather than 75 percent. In the next stage answers analyzed statistically in the file of SPSS software using describing and deduction examining like t-test, square, sideway variance analyzing (ANOVA 78), and Toki test (P≤0.05) </p><p> <strong><i> Results: </i></strong>Findings showed than 107 women were studied. 39 women (36.4%) were 35-40 years old, 42 women (39.2%) were 41-45 years old, and 26 women (24.3%) were rather than 46 years old. From 22 score of knowledge the maximum and minimum scores were 11.5 and 0 respectively and consequently the average of women's knowledge in this study was 4.3. Also the maximum and minimum scores of viewpoint were 72 and 43 respectively therefore the average of women's viewpoint in this study was 60. </p><p> <strong><i> Conclusion: </i></strong>However there wasn't a meaningful relation among the viewpoint of these groups. Implementing of learning classes periodically is suggested for all of personnel, according to results of this research and with considering to the low knowledge of persons studied. Distribution of learning packets among personnel of hygiene center, implementation of learning workshops and … can help increasing of people's knowledge. </p><p> </p>H HedayatiStudent attitude about Teacher evaluation by student in Birjand University of Medical Sciences and Health Serviceshttp://moderncare.bums.ac.ir/browse.php?a_id=182&sid=1&slc_lang=en
<p> One of the most important reasons for students’ evaluation of university teachers and emphasizing on its improvement are to provide academic members with a feedback leading to raise their teaching quality. The current study was conducted to define students’ points of view regarding their tutors in Birjand University of Medical Sciences. </p><p> <strong> Materials and Methods: </strong>In this analytic- descriptive study 280 students of Birjand University of Medical Sciences were surveyed. Their views were assessed through a questionnaire which its content validity was approved after some specialists’ polls and a primary introductory study. Besides, the reliability of the questionnaire was assessed using internal homogeneity and calculating the Koronbach α coefficient. Koronbach α coefficient was found to be 80%. The data were analyzed through SPSS software presenting frequency and then chi-squarer test (P<0.05). </p><p> <strong> Results: </strong>From a total of 280 students, 40% believed that the evaluation forms could not evaluate teaching quality to a great extent. 78.2% of them filled out the forms patiently enough and 82.8% thought that the results of evaluation are credited very little. </p><p> <strong> Conclusion: </strong>Findings showed that most of the students believed that evaluation results are ignored. On the other hand, little acquaintance of most of the students (80%) with such evaluating centers (Educational Development Center) revealed the need for introductory sessions before evaluations and reminding the importance and applications of the results </p>S KaheniComparison of growth pattern of Birjand adolescences with NCHShttp://moderncare.bums.ac.ir/browse.php?a_id=183&sid=1&slc_lang=en
<p> <strong> : </strong>Growth follow-up is important for determining the health and nutrition conditions of adolescences. Both genetic and environmental factors influence the growth, and growth curve in various societies is different. The purpose is to compare the anthropometric indicators of 11 to 14-years-old boys of Birjand with NCHS. </p><p> <strong> Materials and Methods: </strong>In 2004,<strong> </strong>this cross<strong> -</strong>sectional study was done on 889 students whom were selected by multi- step cluster sampling. Height and weight were measured by standard ways related percentiles were defined and then compared with NCHS. To show percentiles, relative and absolute frequency distribution tables were used. </p><p> <strong> Results: </strong>889 boys were selected out of 5909 junior high-school students. Height and weight normograms were provided according to age. Middle percentile (50%) of boys' weight in Birjand was 7-13 kg less than NCHS. By increasing the age, deviation of NCHS was more, and the reduction in height was more than weight. </p><p> <strong> Conclusion: </strong>Height & weight curve of 11-years-old boys in Birjand was near to standard curves of NCHS, but at 12-13-14-years were far form them and the reduction of height was more than of weight. Assessing the growth proven changes is possible by more precise examining and by providing regional growth standards and repeated follow- ups. </p><p> </p>T KhazaeiKnowledge, attitude and performance of male workers employed in factories of Birjand toward family planning http://moderncare.bums.ac.ir/browse.php?a_id=184&sid=1&slc_lang=en
<p> Family planning is accepted by many countries as a mechanism to deal with the problem of population increase and its related outcomes. One of the key success factors in family planning programs is to find a regional model suitable for training purposes. This is possible when a sufficient understanding of the knowledge, attitude and performance of different social groups in each region exists. This study is conducted in Birjand to determine the knowledge, attitude and performance of male workers toward family planning. </p><p> <strong> Materials and Methods: </strong>This descriptive - analytical study was done on 350 male workers employed in some factories of Birjand which were selected randomly through quota clustering . Data collecting tool was a questionnaire which its content validity had been confirmed and included questions of awareness, performance and attitude. Using descriptive analytic statistics methods, chi-square,t-test and Pearson correlation coefficient , data were analyzed (P<0.05). </p><p> <strong> Results: </strong>The mean age of the participants was 35.98±7.86 years. A majority of them (52.6%) had a high school diploma or higher degrees.The source for information was announced health centers by 20.9% of them. Average score of awareness was 5.77±3.16 out of 21 for 27% which shows their relatively weak knowledge. However, a mean attitude score of 42.83±7.49 out of 54 for 79% of the participants represents the high scale of attitude. 36.3% of the workers used prevention methods by their own, and the most used ones were condoms and contraceptives tablets, (36.5%) and (23.3%) respectively. Matrimonial life duration, the number of children and awareness of prevention methods were significantly related (P<0.01). </p><p> <strong> Conclusion: </strong>Despite the low average score of knowledge, these workers prosper high positive attitude. So the issue requires an investment and planning by health sector officials and personnel continuous education </p> M.R MiriSurveying the general health of nursing students in Birjand University of Medical Sciences in 2007http://moderncare.bums.ac.ir/browse.php?a_id=185&sid=1&slc_lang=en
<p> One of the most vulnerable periods of life which threatens one’s health more than any other is student days, this period is coincident with students’ entrance to a new atmosphere with different people. As, one third of country population are young people aging between 15-29 and most of them are studying in schools and universities so paying attention to their spiritual health is highly important. The current study was conducted to survey different aspects of general health of nursing students of Birjand University of Medical. </p><p> <strong> Materials and Methods: </strong>In this descriptive-analytic study, sampling was done through census and GHQ-28 questioner was used for gathering data. 230 questioners were distributed among all nursing daily and nightly students and B.S students. 188 of them were completed and then were analyzed by SPSS and descriptive statistic tests, t-test and c <sup>2 </sup>(P < 0.05). </p><p> <strong> Results: </strong>80.3% of the population was healthy and 19.7% was sick. A meaningful relationship was not found between general health and students’ demographic characteristics, but such a relation existed between body condition of students and their sex (P = 0.05) and the fathers’ job. Also there was a meaningful relation between social function disorder and their sex (P = 0.03). </p><p> <strong> Conclusion: </strong>Based on the findings, it can be observed that a high percentage of students have a good general health condition. </p><p> </p>Z FarajzadehThe prevalence of menstrual disturbances in Birjand University of Medical Sciences studentshttp://moderncare.bums.ac.ir/browse.php?a_id=186&sid=1&slc_lang=en
<p> Abnormal uterine bleeding is one of the most important disorders that college age young woman may frequently experience it. These problems deserve careful evaluation they may reflect normal ovulatory menstrual symptoms or be suggestive of significant pathology that can have a major impact on future reproductive and general health. Survey of prevalence of abnormal utrine bleeding and several kind of it may have an important role to treat and prevent of these disorders. </p><p> <strong> Materials and Methods: </strong>This crass-sectional descriptive study was conducted on 300 college age students of Birjand University of Medical Sciences at 2006. Selection of students carried out based on total number of students by systematic randomized sampling methods and the students answered the questions. Questionnaire was planed according to purpose, demographic variables and survey of menstrual cycle disorders. Then data saved on SPSS software package. Chi-square and t-test served for statistical analysis and α =0.05 declared as significant level. </p><p> <strong> Results: </strong>The mean age of students was 21.1 ± 2.1 years the mean of mean of menace age was 13.8 ± 1.6 years. Duration of bleeding was 6.5 ± 1.5 days and cycle length was 27.3 ± 3.9 days. 82.3% of students were single and 17.7% were married. 35% of students were native and 65% were non-native. Irregular periods were observed in 68.7% of the cases and regular cycle was observed just in 31.3% of cases. Prevalence of polymenorrhea, hypomenorrhea, hypermenorrhea, oligomenorrhea and monometrorhagia were 3.5%, 1%, 14.4%, 6.3% and 15.8% respectively. Prevalence of hirsutism was 25% and 8.6% of them had oligomenorrhea. According the results there was not significant difference between prevalence of oligomenorrhea in hirsute and non-hirsute cases (P=0.4). The prevalence of hirsutism in the family of hirsute and non-hirsute cases was 31.5% and 6.3% respectively that their difference was significant ( α =0.05). The mean of menarche age in students with regular menstrual cycle was 13.4 ± 1.9 years. It was 13.8 ± 1.5 in the students with irregular menstrual and this difference was significant ( α =0.05). </p><p> <strong> Conclusion: </strong>According to prevalence of menstrual cycle disorders in young woman, we can not only present a young woman s current health, sense of well-being, but also improve quality of life during adolescence. </p><p> </p>H Hedayati High school students' knowledge and attitude about AIDS- Ferdows 2008http://moderncare.bums.ac.ir/browse.php?a_id=187&sid=1&slc_lang=en
<p> AIDS is considered a worldwide outbreak and also its incidence in Iran is increasing so it should be controlled that it requires increasing the level of awareness, especially in teenagers and youths as a risky group. So this study was done to determine their knowledge and attitude about AIDS to gain required information for suitable planning to increase the knowledge and attitude </p><p> <strong> Materials and Methods: </strong>In this cross-sectional, descriptive-analytic study 384 students of Ferdows high schools (4 schools’ high school and high school boys’ 4) were selected by multi-layer clustering sampling. Data were collected by a questionnaire include personal information, 30 questions about knowledge, attitude. Content validity was confirmed. Data were analyzed by T test, Chi square and one tailed variance analysis. </p><p> <strong> Results: </strong>Findings showed that mean age of the students was 16 years, 50% of the students were female and 50% were male .268 (69.8%) of the students were under 16 years and 98 (25.5%) were between the age of 17-16 years and 18 students (4.7%) were older 17. The frequencies of students in good, moderate and weak level of knowledge were 49.7%, 40.6% and 6.9% respectively. In the ranking of attitude level, most of the students (83.6%) had good attitude while 16.4% had weak attitude. There isn't significant relationship between knowledge and gender (P=0.07), attitude and parents' educational level (P=0.2). There are relationships between knowledge and age (P=0.03), knowledge and parents' educational level (P=0.001), knowledge and information source (P=0.001), attitude and sex (P=0.02), attitude and information source (P=0.01), attitude and age (P=0.03). </p><p> <strong> Conclusion: </strong>Regarding to the findings it should be to consider schools as the main focuses of strategies for reducing AIDS. And education of students about all aspects of the HIV/AIDS, as part of supplementary education seriously should be paid attention by the educational policy makers and state. </p><p> </p>Kh Sayede SaniEffective factors in communication with patients and barriers from nurses' perspective Val-e-Asr hospital- Birjandhttp://moderncare.bums.ac.ir/browse.php?a_id=205&sid=1&slc_lang=en
<p> Improvement in communication with patients can improve assessment and identifying patients' problems by promotion the interaction and active listening. This study was done to determine effective factors and barriers in communication with patients from nurses' perspective. </p><p> <strong> Materials and Methods: </strong><strong></strong>In this descriptive-analytic study, 70 nurses working in Val-e-Asr hospital were selected randomly. Data was collected by 28 options questionnaire about effective factors & barriers. It is designed in 6 domains: nurse, patient, nurse-patient, environment, knowledge and skill and working condition. Data were analyzed by SPSS software, descriptive statistics and c <sup>2 </sup>test. </p><p> <strong> Results: </strong>The most effective factors in communication with patients are nurse factors (84.3%), knowledge & skill (75.7%) and patient’s factors (74.3%). The most effective barriers are nurses factors and knowledge & skill (75.7%) and environment (70%). There is significant relationship between sex and nurses factors (P=0.38) and in effective barriers there is relationship and working conditions (P=0.27, P=0.08). </p><p> <strong> Conclusion: </strong>According to results, most effective factors are nurses, knowledge & skill so nurses, educational needs are important and it is recommended to plan for reliefing nurses, clinical problems and providing better care. </p>Sh PejhmankhahAssessment of keratometry changes and Refractive Errors in patients with Pterygium before and after injection of mitomycin Chttp://moderncare.bums.ac.ir/browse.php?a_id=189&sid=1&slc_lang=en
<p> Pterygium is the development of pinguecula that makes a mass of oval and palmy shape near limbus and its main treatment is surgery but due to some complications and high recurrence after syrgery, subconjunctival injection of mitomycin -C as a safe and effective treatment was detected in many researches so this study determine this purpose and prevelance in Birjand<strong>.</strong> <strong></strong></p><p> <strong> Materials and Methods: </strong>30 eyes patients with pterygium referred to Vali- Asr of Birjand Hospital received 0.1 ml of 0.2 mg/ml mitomycin -subconjunectively injected into the body of the pterygium. After injection, patients were followed up at first week 3-5 months after pterygium injection. Patients were examimed at all visits for conjunctiva erythematic, epithehial defects and pterygium size reductive (regression of pterygium ). Data were gathered via 3 questionnaires. Then they were analyzed by SPSS and paired T test.(α=0.05) </p><p> <strong> Results: </strong>The complications after sub. Conjuntive mitomycin- C injection were mild chemosis and lonf discomfort and redness in the site of injection for four days that were seen in six patients (20%). No toxicity of mitomycin- C were found the size of pterygium was reduced in ( mean 0.48 mm ) 83% of cases and in all cases there were not seen progression and the amount of Astigmatism reduced (mean 0.46 diopter) in 70% cases. </p><p> <strong> Conclusion: </strong>Subconjunctival injection of mitomycin- C is an effective treatment and reduces the size of pterygium as well as redness and astigmatism. </p><p> </p>Sh Pejmankhah Pathology school students drop http://moderncare.bums.ac.ir/browse.php?a_id=190&sid=1&slc_lang=en
<p> Learning helps human to meet his needs and promote his knowledge and ultimately reach his goals. To achieve a behavior change in individuals, there is a constant need to motivation thus to achieve the ultimate objective of universities, students need to be motivated enough. In this study the causes of academic failure of students have been analyzed. In total, two inner and outer motivational factors are effective on educational performance. So different causes of reduced incentives for academic study decline have been mentioned that are: individual and personal problems, social, cultural, and training insufficiencies. To resolve this problem in academic communities the proposed solutions are: paying attention to physical and psychological problems of students, strengthening family relationships, providing a ground for the incidence and learned application and removal of unemployment, introducing disciplines, strengthening the right relationship of students and mentors, and revising the topics. Identifying the current and after graduation needs of the students and appropriate training courses and value harmony with science and research rather than creating job security by government planners seem essential. </p>M Mogharab